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[公共卫生领域知识中介的探索性综合研究]

[An exploratory synthesis of knowledge brokering in public health].

作者信息

Ridde Valéry, Dagenais Christian, Boileau Michèle

机构信息

CRCHUM et Département de médecine sociale et préventive, Université de Montréal, Canada.

出版信息

Sante Publique. 2013 Mar-Apr;25(2):137-45.

Abstract

There is a call for public health policies and interventions to be evidence-based. Also, using knowledge brokers to foster the use of research results is increasingly recommended. This article presents an exploratory synthesis of the current state of knowledge on this new strategy We conducted a scoping study by consulting the main databases. Nineteen articles were included in the analysis, which was designed with a grid developed iteratively. The synthesis shows that knowledge brokering initiatives include i) planning activities (stakeholder identification, creation of networks and partnerships, context analysis, problem identification, needs identification), ii) support to the brokers (training, technical support, development of a practice guide), and iii) the brokerage activities themselves (information management, liaison between knowledge producers and users, training of users). Only four articles presented empirical data on the effects of brokers' activities. Three were associated with increased knowledge in the target audience. No study showed any impact on clinical behaviours or on public policy content. This synthesis highlights the challenges involved in knowledge brokering activities, as well as the characteristics and skills a broker should possess. While knowledge brokering appears promising, efforts must now be made to evaluate it more systematically to demonstrate its effectiveness.

摘要

人们呼吁公共卫生政策和干预措施应以证据为基础。此外,越来越多的人建议利用知识中介来促进研究成果的应用。本文对这一新策略的当前知识状况进行了探索性综合分析。我们通过查阅主要数据库开展了一项范围界定研究。分析纳入了19篇文章,分析是根据反复迭代开发的一个表格进行的。综合分析表明,知识中介举措包括:i)规划活动(确定利益相关者、建立网络和伙伴关系、背景分析、问题识别、需求识别),ii)对中介的支持(培训、技术支持、制定实践指南),以及iii)中介活动本身(信息管理、知识生产者与使用者之间的联络、对使用者的培训)。只有四篇文章提供了关于中介活动效果的实证数据。其中三篇与目标受众知识的增加有关。没有研究表明对临床行为或公共政策内容有任何影响。这一综合分析突出了知识中介活动所涉及的挑战,以及中介应具备的特征和技能。虽然知识中介似乎很有前景,但现在必须努力更系统地对其进行评估,以证明其有效性。

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